DRG (diagnosis-related groups) validation issues have been the main target of RAC (recovery audit coordinators) nationwide in recent months. When unclear documentation results in improperly assigned DRGs, it puts facilities at risk for RAC denials. However, an effective clinical documentation...Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
I work at a small community hospital with less than 100 beds. We implemented an emergency department (ED) case management (CM) model that focuses on weekday admissions during regular business hours. We’ve trained the ED nurse...Read More »
Things you should know about Brian Murphy… Hummm… Where should I start? Not to worry, I promised my compatriot I wouldn’t reveal any of the sordid details of his life. (I did threaten to use the photo of him dressed up like...Read More »
EHR documentation can be dictated by billing rules and legal requirements, or by the physicians’ need to describe his or her patients and provide quality care, according to the ...Read More »
Since these “intros” were my idea, everyone said that I should be the first person in the proverbial hot seat.
Because I consider myself a writer (I spent about a decade writing and editing my hometown newspaper and recently earned my master’s degree in...Read More »
Sound familiar? Providers of home medical equipment (HME) often express frustration with physicians in the ongoing battle to obtain proper documentation for Medicare claims.
Cajoling, begging and even educating doctors has its limitations, callers...Read More »
